Rotating Stylet-Loaded Endotracheal Tube 180 Degrees Before Insertion to Reduce Postoperative Sore Throat in Adults Undergoing General Anesthesia

What this Trial Is About

This research aims to determine if rotating a stylet-loaded endotracheal tube ETT 180 degrees before intubation reduces the chance of having a sore throat after surgery compared to the usual method. The study involves patients undergoing general anesthesia who will receive different intubation techniques to compare their effects on postoperative throat discomfort. Participants will be randomly assigned to one of three groups standard direct laryngoscope use with no rotation of the ETT, direct laryngoscope use with a 180-degree rotation of the stylet-loaded ETT, or video laryngoscope use with a 180-degree rotation of the stylet-loaded ETT. The ETT size will generally be 7.0, with stylets prepared at a 75-degree bend. The cuff pressure will be maintained at 20 cmH2O using a manometer. Experienced anesthesiologists will perform the procedures, and the study will monitor any differences caused by operator variability. Patients will be followed up in person or by phone while in the Post Anesthesia Care Unit and again about 24 hours after the ETT is removed. The researchers will collect information about symptoms like hoarseness and sore throat, including how often they occur and how severe they are. They will also track whether patients need pain medication for throat discomfort. The study is double-blinded, so neither patients nor the anesthesiologists know which group the patient is in during data collection.

Endotracheal Tube (ETT) 180: Stylet-loaded Endotracheal Tube Rotation Before Insertion